Why are Medicare and Medicaid shown separately instead of combined?

They come from two different CMS data sources with no shared claim identifier, so they can't be reconciled into one number without double-counting or guessing. Every table and chart on this page keeps them fully separate.

Why is there no private/commercial revenue figure?

Private and commercial payer data comes from Transparency in Coverage files, which only publish negotiated rates — not claims or utilization volume. Without a volume figure, no revenue number can be computed for any provider from that data.

What does "Rank" mean in the Competitive Analysis & Benchmarks tables?

For a given CPT/HCPCS code, it's this provider's position by claims volume among all providers billing that same code at that geography level (State, National, or Illinois for Medicaid) — rank 1 means the highest claims volume for that code.

Why is the Medicaid comparison limited to Illinois only?

Medicaid is administered per-state with no single national fee schedule, so a state or national comparison the way Medicare has one isn't available. Illinois (this provider's own state) is the only grouping that's conceptually meaningful.

Why are the numbers rounded to the nearest 10?

To avoid implying more precision than the underlying data supports at a single-provider level. Ratios are kept precise since they're a relative comparison, not a volume or dollar figure.

How current is this data?

The Medicare and Medicaid tables are both single current snapshots, not refreshed on a recurring schedule yet.

Anthony Terrasse (NPI 1477544302)

Field	Value
Entity Type	Individual
Organization	Anthony Terrasse
Address	700 N Westmoreland Rd
City	Lake Forest
State	IL
ZIP	60045
Taxonomy	Plastic Surgery Physician
NPI Enumerated	October 31, 2005

Payer Source	Total Paid
Medicare	$18.9K
Medicaid	$0

Medicare: Complete Services Breakdown

The CPT/HCPCS codes generating the most Medicare revenue for this provider.

6 rows

CPT/HCPCS Code	Description	Claims	Avg Paid	Revenue
99204	The provider sees a new patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a moderate level of medical decision making, and/or the provider…	50	$120	$6.4K
99213	The provider sees an established patient for an office visit or other outpatient visit involving evaluation and management. The visit involves a low level of medical decision making, and/or the…	60	$60	$3.5K
12052	This CPT® code is used for the intermediate repair of wounds to the face, ears, eyelids, nose, lips and/or mucous membranes that are 2.6 to 5.0 cm in size.	20	$180	$2.8K
11443	The provider excises a benign (noncancerous) lesion including margins from the face, ears, eyelids, nose, lips, or mucous membrane that is 2.1 to 3.0 cm in diameter or less and also performs a simple…	30	$110	$2.8K
11403	The provider excises a noncancerous lesion, excluding a skin tag, of 2.1 to 3.0 cm in diameter, including margins, from the skin of the trunk, arms, or legs.	20	$90	$1.8K
11442	The provider excises a benign (noncancerous) lesion including margins from the face, ears, eyelids, nose, lips, or mucous membrane that is 1.1 to 2.0 cm in diameter and also performs a simple…	20	$70	$1.5K

Medicare: Competitive Analysis & Benchmarks

How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 6 CPT/HCPCS codes.

View: State1 / 2

Claims Volume vs. Illinois Distribution

Anthony Terrasse — 1 of 6 codes billed far more than typical (above p95)

p5–p95 (all providers)p25–p75MedianThis providerOutlier

Rank Distribution — Illinois

Full comparison — all codes billed, vs. state median

6 rows

CPT/HCPCS Code	Rank	Provider Count	Median Claims	Avg Paid	Average Revenue
99213	10,236	17,390	70	$60	$8.8K
12052	39	50	30	$150	$7.5K
99204	2,613	8,580	30	$110	$5.6K
11443	1	10	20	$100	$1.7K
11442	6	10	20	$90	$1.7K
11403	8	20	20	$80	$1.6K

Nearby Providers

Other providers in the same ZIP code as Anthony Terrasse, ranked by combined Medicare and Medicaid revenue.

Provider	State	Taxonomy	Medicare Revenue	Medicaid Revenue
John Lee	IL	Anatomic Pathology & Clinical Pathology Physician	$104.2K	$1.5M
Jennifer Capezio	IL	Rheumatology Physician	$1.3M	$6.2K
Thomas Mientus	IL	Anatomic Pathology & Clinical Pathology Physician	$1.1M	$133K
Patrick Onkka	IL	Rheumatology Physician	$1.1M	$23.7K
Kathryn Kiehn	IL	Rheumatology Physician	$791.2K	$4.6K
Julia Sun	IL	Rheumatology Physician	$548.6K	$17K
Charulatha Nagar	IL	Neurology Physician	$518.7K	$6K
Mark Berk	IL	Dermatology Physician	$391.7K	$110K
Michael Mcguire	IL	Urology Physician	$337.2K	$153.7K
Mugurel Bazavan	IL	Advanced Heart Failure and Transplant Cardiology Physician	$273.4K	$149.6K

Anthony Terrasse — Billing Profile & Reimbursement Data

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Anthony Terrasse — Billing Profile & Reimbursement Data

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Medicare: Total Revenue Breakdown by CPT/HCPCS Code

Medicare: Complete Services Breakdown

Medicare: Competitive Analysis & Benchmarks

Nearby Providers

Frequently Asked Questions

References